成人慢性健康状况的数字接受和承诺治疗：来自候补对照试验的结果

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-03-16 DOI:10.1016/j.brat.2025.104729

Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen

{"title":"成人慢性健康状况的数字接受和承诺治疗：来自候补对照试验的结果","authors":"Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen","doi":"10.1016/j.brat.2025.104729","DOIUrl":null,"url":null,"abstract":"<div><div>Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (<em>M</em> = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs.</div></div><div><h3>Clinicaltrialsgov identifier</h3><div>NCT06179264.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"188 ","pages":"Article 104729"},"PeriodicalIF":4.2000,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Digital acceptance and commitment therapy for adults with chronic health conditions: Results from a waitlist-controlled trial\",\"authors\":\"Michael E. Levin , Ty B. Aller , Korena S. Klimczak , Marissa L. Donahue , Francesca M. Knudsen\",\"doi\":\"10.1016/j.brat.2025.104729\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (<em>M</em> = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs.</div></div><div><h3>Clinicaltrialsgov identifier</h3><div>NCT06179264.</div></div>\",\"PeriodicalId\":48457,\"journal\":{\"name\":\"Behaviour Research and Therapy\",\"volume\":\"188 \",\"pages\":\"Article 104729\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2025-03-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Behaviour Research and Therapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0005796725000518\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behaviour Research and Therapy","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0005796725000518","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

摘要

数字心理健康干预（DMHIs）为解决患有慢性健康状况（CHCs）的成年人的心理健康需求提供了一条有希望的途径。跨诊断性DMHIs，通过关注共同的核心变化过程(例如，接受和承诺治疗；ACT)，特别需要解决各种各样的CHCs影响生活质量的各种方式。本研究评估了一项ACT DMHI，旨在改善CHCs成人的生活质量和心理健康。100名成年CHCs患者被随机分为ACT组或候补组，分别有基线、6周和10周的评估点。招募（3个月内100名参与者，chc范围广泛），保留（随访时84%）和依从率（6次疗程中M = 4）表明可行性，具有较高的可接受性项目满意度。在干预后（6周随访），ACT组与候补组相比，只有心理灵活性得到了更多的改善，直到10周随访，其他结果没有差异。在10周的随访中，ACT的参与者在生活质量、CHCs的功能损害和心理灵活性的主要结局方面的改善明显高于等候名单。一项探索性的适度测试表明，在10周的随访中，基线时心理健康症状升高的参与者在ACT中的症状改善程度高于候补名单。总体而言，结果支持跨诊断ACT DMHI改善各种CHCs成人生活质量和心理健康的可行性、可接受性和有效性。Clinicaltrialsgov identifierNCT06179264。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Digital acceptance and commitment therapy for adults with chronic health conditions: Results from a waitlist-controlled trial

Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (M = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs.

Clinicaltrialsgov identifier

NCT06179264.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.